NPI | 1356874275 |
---|---|
Doing Business As | WELLSPRING HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | BARBARA J DIXON Credentialing 540-321-4281 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0000X Family Medicine, Adolescent Medicine | |
207QG0300X Family Medicine, Geriatric Medicine | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
207Y00000X Otolaryngology | |
261Q00000X Clinic/Center | |
332900000X Non-Pharmacy Dispensing Site | |
207LP2900X Anesthesiology, Pain Medicine | |
207L00000X Anesthesiology | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2020-01-30 |